[Acute myocardial infarction with normal coronary arteries as initial manifestation of polyarteritis nodosa. A case report].
A thirty four-year-old-white man in good health developed an acute anterior wall myocardial infarction (AMI), Killip II with normal coronary arteries. No thrombolytic therapy was given. Selective angiography revealed multiple aneurysms in mesenteric and renal arteries. The diagnosis of polyarteritis nodosa (PAN) was performed. AMI in PAN is secondary to arteritis with thrombosis, or to atherosclerosis due to steroid therapy. This case, having multiorgan vascular aneurysms involvement without previous cardiac symptomatology nor steroid therapy, presented as his first cardiac complication an AMI with normal coronary arteries probably due to selective arteritis.
Badui
E
E
División de Cardiología, Hospital de Especialidades del Centro Médico La Raza-IMSS, México, D.F.
Rangel
A
A
Ramos
M A
MA
Enciso
R
R
Solorio
S
S
Lepe
L
L
Miranda
J
J
D000328:Adult; D000783:Aneurysm / Q000000981:diagnostic imaging; D017023:Coronary Angiography; D003331:Coronary Vessels; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008638:Mesenteric Arteries / Q000000981:diagnostic imaging; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology*; D010488:Polyarteritis Nodosa / Q000150:complications / Q000175:diagnosis*; D012077:Renal Artery / Q000000981:diagnostic imaging
Infarto agudo del miocardio con coronarias normales como primera manifestación de poliarteritis nudosa. Reporte de un caso.